Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.35 / $149.58 / $162.05	Facility		$143.35	$149.58	$162.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $121.14 / $202.40	Professional		$106.17	$121.14	$202.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $124.65 / $501.48	Professional		$124.65	$124.65	$501.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $123.91 / $140.62	Professional		$102.60	$123.91	$140.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $172.49 / $235.92	Professional		$137.12	$172.49	$235.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.98 / $114.98 / $123.41	Facility		$114.98	$114.98	$123.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $165.10 / $280.54	Professional		$118.88	$165.10	$280.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $593.41 / $640.97	Facility		$289.82	$593.41	$640.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,352.50	Professional		$1,352.50	$1,352.50	$1,352.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $146.21 / $264.41	Facility		$107.32	$146.21	$264.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $181.07 / $235.85	Professional		$145.82	$181.07	$235.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $155.81 / $243.12	Professional		$120.85	$155.81	$243.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $146.37 / $295.11	Facility		$107.32	$146.37	$295.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $179.27 / $324.70	Professional		$126.67	$179.27	$324.70
United Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $145.35 / $213.56	Professional		$110.56	$145.35	$213.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $127.14 / $174.51	Professional		$108.22	$127.14	$174.51